Manijeh Afshar-Ebrahimi

Primary specialty

DentistTaxonomy code 122300000X

License

55822 Issued in CA

Practice address

133 S Swall Dr
#3
Los Angeles, CA 90048-3032

Phone

(818) 425-7147

NPI assigned

May 18, 2010

Last updated

May 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mafshar.ebrahimi@direct.westerndental.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1083933956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S SWALL DR",
            "address_2": "#3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483032",
            "telephone_number": "818-425-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S SWALL DR",
            "address_2": "#3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483032",
            "telephone_number": "818-425-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSHAR-EBRAHIMI",
        "first_name": "MANIJEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afsaneh Karimi, M.D.
• Afsaneh Karimi, MD. Inc.
• Mohammad Khairul Afsar, LCSW
• Nasim Afsarmanesh, MD
• Negar Afshar Moghadam
• Nahal Afshar-Shahidi, MD
• Deborah Anne Afshar
• Stephanie Caruso Afshar, OTR
• Yalda Afshar, M.D., PH.D.
• Samira Afsharhashemkhani

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.